Organization
NEIGHBORHOOD HEALTH ASSOCIATION OF TOLEDO, INC.
Active
Other names
Southside Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY JO STONE KLINE (RCM)
(419) 720-7883
Entity
Organization
Contact information
Practice address
732 SOUTH AVE, TOLEDO, OH 43609-2768
(419) 321-6106
(419) 321-1525
Mailing address
313 JEFFERSON AVE, TOLEDO, OH 43604-1004
(419) 720-7883
(419) 720-7895
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02138
PARAMOUNT
OH
05
—
0829358
—
OH
Enumeration date
04/03/2007
Last updated
07/01/2019
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